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KMID : 1143420220150201363
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Public Health Weekly Report
2022 Volume.15 No. 20 p.1363 ~ p.1376
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Current Status of Cardiac Rehabilitation in Regional Cardiocerebrovascular Center- Nationwide Investigation of Cardiac Rehabilitation Program -
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Kim Chul
Lee Seung-Hee
Kim Won-Ho
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Abstract
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The Regional Cardiocerebrovascular Center (RCC), an initiative of the Korean government, is working to reduce the medical disparity between regions, and the Cardiac Rehabilitation (CR) program is expected to become a model for post-acute care for the CR program in Korea. The purpose of this study is to evaluate the current state of RCC’s CR program and to provide data that can be used to develop strategies to revitalize the CR program in Korea. To gather data, a survey on CR status, activity, and barriers was conducted for 12 RCCs in different provinces. The annual number of AMI admissions, CR candidates, CR capacity of the centers, and CR density showed significant disparities among the 12 RCCs. In particular, the CR capacity and CR density showed a large difference in the ranges of 50~500 and 0.42~7.36, respectively. Although the 12 RCCs were well equipped with many components necessary for the CR program, as well as the facilities, equipment, and personnel required for CR, there are still problems with low rates of psychological evaluation and vocational counseling, so improvement efforts are urgently needed. The rate of CR referral (97%) and patient education (78%) were high. However, the rate of inpatient CR exercise training (56%) was inadequate. The rate of outpatient CR enrollment (47%) and adherence (17%) were much lower and there were significant differences between centers. Studies have shown that the main causes of low outpatient CR enrollment and adherence are time/distance/transport issues, patient burden of CR costs, and a lack of recommendation to attend outpatient CR programs by cardiologists and cardiac surgeons. Therefore, in order to solve the current problems of CR in the RCCs, the attention and resources of the medical staff, hospital management, and standardization of CR programs in the RCCs are required. In addition, patient-oriented CR programs should be actively implemented to increase outpatient CR compliance. However, effective policies and financial support from the government are required for this strategy to be realized. The activation of CR is the fundamental purpose and direction of Act on the Prevention and Management of Cardio-Cerebrovascular Diseases, which should be prioritized to protect people’s right to life.
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KEYWORD
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Barriers, Cardiac rehabilitation, Hospital-based, Participation rate
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